MEDICARE: ALBAHI MALIK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	D0106579	MD
2	207RP1001X	Pulmonary Disease Physician	D0106579	MD
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1023646676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBAHI MALIK

Provider Business Mailing Address
First Line	:	615 MICHAEL ST NE STE 205
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-2829
Country	:	US
Telephone Number	:	929-278-7335
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 MICHAEL ST NE STE 205
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-2829
Country	:	US
Telephone Number	:	929-278-7335
Fax Number	:	404-712-2974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	05/09/2026

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Directions to “ ALBAHI MALIK ” Practice Location

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